| John Taylor Mackay, M.d. Pa Inc | |
|
2412 W Plaza Dr Tallahassee FL 32308-5325 | |
| (850) 877-8171 | |
| (850) 877-9791 |
| Full Name | John Taylor Mackay, M.d. Pa Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2412 W Plaza Dr, Tallahassee, Florida |
| Authorized Official Name and Position | John Taylor Mackay (PRESIDENT) |
| Authorized Official Contact | 8508778173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Taylor Mackay, M.d. Pa Inc 2412 West Plaza Drvie Tallahassee FL 32308 Ph: (850) 877-8171 | John Taylor Mackay, M.d. Pa Inc 2412 W Plaza Dr Tallahassee FL 32308-5325 Ph: (850) 877-8171 |
| NPI Number | 1508892670 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 5092721712 |
|---|---|
| Medicare Enrollment ID | O20060303000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508892670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME58246 (Florida) | Primary |
| Provider Name | John Taylor Mackay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942267844 PECOS PAC ID: 7719993435 Enrollment ID: I20060306000166 |
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